Skip to main content
QV

QuickVisitMD™

Start a visit

Bladder control guide

Overactive bladder care online

For adults 18 or older with strong urges, going often, or leaks, whose bladder symptoms a doctor or other clinician already checked with a urine test.

Start online

Start a $59 online review for Overactive bladder.

Overactive bladder means sudden, strong urges to pass urine. You may go very often. You may wake at night to go. You may leak before you reach the toilet. An infection is not the cause. Two kinds of help work: bladder training, and a daily pill. The pill helps this urge type. It does not help leaks that happen only when you cough, sneeze, or exercise. The doctor reads your answers and sends a plan.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visitSee response times

Already in ongoing care with us for this? Check-ins are $39 (your first one is free).

Log in to ask for one

Quick facts

  • You must be physically located in Virginia or West Virginia at the time of request.
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response times apply 24/7, every day

Common symptoms

  • Sudden, strong urges to pass urine
  • Going to the toilet very often
  • Waking at night to pass urine
  • Leaking before you reach the toilet

May fit online care

  • Adults 18 and older
  • You are 18 or older
  • A doctor or other clinician already checked your bladder symptoms, and that check included a urine test
  • Strong urges, going often, or urge leaks are your main problem
  • For a pill: you have a urine test result from the last 12 months, or the last 6 months if you are 50 or older or you smoke or used to smoke, and it showed no blood and no infection

Look for another care setting

  • No urine at all or only a few drops, numbness in the groin, buttocks, or inner thighs, new weakness in a leg or new loss of bowel control, new back pain with a sudden change in bladder control, sudden weakness or numbness on one side, a drooping face, new trouble speaking, a sudden loss or change in vision or sudden loss of balance, new confusion, unusual sleepiness, fainting or feeling too weak to stand, or severe pain in the belly or pelvis (call 911 or go to the ER now).
  • A fever or shaking chills, pain in the side or back, or vomiting, along with bladder symptoms (go to the ER or urgent care today).
  • Blood you can see in your urine now (see a doctor in person today).
  • Burning or pain when you pass urine (see a doctor in person within 2 days).
  • Symptoms that got much worse or started suddenly in the last 2 weeks, new pelvic or lower belly pain that is not severe, other new numbness, tingling, or weakness, vision or balance changes that came on slowly, strong thirst or weight loss you cannot explain, or blood in a past urine test or in your urine that no one explained (see a doctor in person within 7 days).
  • Bladder symptoms that no clinician checked with a urine test, a nerve disease, surgery on the bladder, prostate, or pelvis, pelvic radiation or cancer treatment, a catheter, a weak or slow stream, straining, or a bladder that does not feel empty, past trouble passing urine, 3 or more bladder infections in the past year, pregnancy, a prostate at age 45 or older that no earlier check examined, or age under 18 (see your own doctor).
  • An enlarged prostate (BPH) found by a doctor (use our enlarged prostate visit).

What to have ready

  • Your urine test result, if you have one (you can send a photo of it)
  • A diary of drinks, toilet trips, urges, and leaks, if you keep one
  • Every medicine you take, including any bladder medicine
  • Your recent blood pressure reading, from home or a pharmacy

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

How does the visit work?

The doctor reads your answers and sends a plan. Everyone starts with bladder training. Keep a diary of drinks, toilet trips, urges, and leaks. Go to the toilet on a set schedule. Make the time between trips a little longer each week. Do pelvic floor exercises as taught. Cut back on caffeine and alcohol. Treat constipation. Stay active, and lose extra weight if you can. Do not drink so little that you get dehydrated. Pads can help you feel safe while you train. Herbs and supplements have not been shown to help.

Do you test my urine?

No. We do not order tests. A doctor or other clinician must have already checked your bladder symptoms, and that check must have included a urine test. If you also want a pill, you need a urine test result from the last 12 months. If you are 50 or older, or you smoke or used to smoke, it must be from the last 6 months. It must show no blood and no infection. A tiny amount of blood cannot be seen. Only a urine test finds it. You can send us a photo of it. If you do not have one, you can still get bladder training now. Get a urine test from your own doctor, an urgent care, or a lab. Then ask us about a pill.

Why a pill only after bladder training?

Everyone starts with bladder training. A daily pill comes next if you still have bothersome symptoms after 4 weeks of bladder training. Starting a pill after your training is a new visit at the standard price. If you have already done 4 weeks, the doctor may start a pill at this visit. The usual choices are vibegron (Gemtesa) 75 mg once a day, or mirabegron 25 mg once a day. The doctor may raise mirabegron to 50 mg after 4 to 8 weeks. Swallow mirabegron whole.

Can men use this?

Yes. Men get overactive bladder too. If you have a prostate and you are 45 or older, an earlier check of your bladder must have included an exam of your prostate. If it did not, or you are not sure, please see your own doctor. A weak or slow stream, trouble starting, straining, or a bladder that often does not feel empty after you go also needs your own doctor. If a doctor told you that you have an enlarged prostate, our enlarged prostate visit is the better choice.

Why not oxybutynin?

We do not start older bladder pills such as oxybutynin. They often cause dry mouth and constipation. They are also linked to memory problems.

How do I use the pill safely?

Tell us about all your medicines, and about any kidney or liver disease. We do not start a pill if you take digoxin or another bladder medicine, if you ever had swelling of your lips, tongue, or face from a medicine, if you have kidney failure or you are on dialysis, if you have severe liver disease, if you have had diabetes for 10 years or more, or if you are trying to get pregnant or you are breastfeeding. Bladder training is still open to you. Heart rhythm pills and some pills for mood matter most with mirabegron. Mirabegron can raise blood pressure. Check your pressure at home or at a pharmacy. Do not take mirabegron if the top number is 180 or higher, or the bottom number is 110 or higher.

What if I cannot pass urine?

Call 911 or go to the ER now if you cannot pass urine at all, or you pass only a few drops. If you take the pill, stop it. Stop it and see a doctor in person today if you have a new weak stream or trouble passing urine. Stop the pill and call 911 if your lips, tongue, face, or throat swell, or you have trouble breathing. Stop mirabegron and see a doctor in person today if the top number of your blood pressure is 180 or higher, or the bottom number is 110 or higher.

What happens after I start a pill?

A free check-in opens about 10 days after you start the pill. Please use it to check side effects and blood pressure. Plan a review at 4 to 8 weeks. If you are not better after 8 weeks on the pill, see your own doctor. If any warning sign starts, get care as shown on this page. Do not wait for our reply.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Child bedwetting supportKidney stone preventionRecurrent UTI preventionSimple UTI
Technical help

Having trouble with the website?

Questions about your treatment, prescription, or pharmacy?

Message Dr. Fadia

Not for emergencies. For emergencies, call 911.

This form is for login, payment or website problems only — not for medical questions. Please leave out medical details and payment card numbers.

You can also email this address directly:

admin@quickvisitmd.com

Replies are not immediate.

For questions about your care, use the patient portal.